| Northwest Primary Care Group, Pc | |
|
1511 Division St Ste 101 Oregon City OR 97045-1589 | |
| (503) 659-4988 | |
| (503) 353-1234 |
| Full Name | Northwest Primary Care Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1511 Division St Ste 101, Oregon City, Oregon |
| Authorized Official Name and Position | Michael Whitbeck (ADMINISTRATOR) |
| Authorized Official Contact | 5036594777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Primary Care Group, Pc Po Box 22075 Milwaukie OR 97269-2075 Ph: (503) 659-4777 | Northwest Primary Care Group, Pc 1511 Division St Ste 101 Oregon City OR 97045-1589 Ph: (503) 659-4988 |
| NPI Number | 1700122058 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 06/11/2020 |
| Medicare PECOS PAC ID | 0244125052 |
|---|---|
| Medicare Enrollment ID | O20200713000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700122058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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